Skip to main content
Log in

An unusual presentation of staphylococcal pericarditis

  • Case Reports
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

An atypical presentation of purulent pericarditis caused byStaphylococcus aureus is described. A bacterial etiology was initially not taken into consideration because the clinical course was torpid and afebrile. Therefore, the appropriate treatment was delayed. The patient recovered after percutaneous pericardial drainage of his purulent pericardial effusion and antimicrobial therapy. The importance of a high index of suspicion of a bacterial cause in patients with pericardial effusion of unexplained etiology is emphasized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Biancaniello TM, Anagnostopoulos CE, Bernstein HE, Proctor C (1985) Purulent meningococcal pericarditis: chronic percutaneous drainage with a modified catheter aided by echocardiography. Clin Cardiol 8:542–544

    Google Scholar 

  2. Bouwels L, Jansen E, Janssen J, Cheriex E, Daniels-Bosman M, Den Dulk K, Leunissen K, Wellens HJJ (1987) Successful long-term catheter drainage in an immunocompromised patient with purulent pericarditis. Am J Med 83:581–583

    Google Scholar 

  3. Bulkley BH, Klacsman PG, Hutchins GM (1977) A clinicopathological study of post-thoracotomy purulent pericarditis. A continuing problem of diagnosis and therapy. J Thorac Cardiovasc Surg 73:408–412

    Google Scholar 

  4. Chin NX, Jules K, Neu HC (1986) Synergy of ciprofloxacin and azlocillin in vitro and in a neutropenic mouse model of infection. Eur J Clin Microbiol 5:23–28

    Google Scholar 

  5. Driscoll DJ, Rhodes KH (1983) Treatment of purulent pericarditis — a comment [Letter]. J Thorac Cardiovasc Surg 85:531

    Google Scholar 

  6. Ehrich DA, Widmann JJ, Abelmann WH (1975) Acute effusive-constrictive staphylococcal pericarditis. Chest 67:721–723

    Google Scholar 

  7. Fowler NO, Manitsas GT (1973) Infectious pericarditis. Prog Cardiovasc Dis 16:323–336

    Google Scholar 

  8. Garvin PJ, Danis RK, Lewis JE, Willman VL (1978) Purulent pericarditis in children. Surgery 84:471–475

    Google Scholar 

  9. Gleckman RA (1976) Nonviral infectious pericarditis. Cardiovasc Clin 7:159–175

    Google Scholar 

  10. Kauffman CA, Watanakunakorn C, Phair JP (1973) Purulent pneumococcal pericarditis. A continuing problem in the antibiotic era. Am J Med 54:743–750

    Google Scholar 

  11. Kiefaber RW, Bach RD, McDowell JA (1984) Nonsurgical treatment of hemophilus influenzae pericarditis in an adult. Am Heart J 108:168–169

    Google Scholar 

  12. Klacsman PG, Bulkley BH, Hutchins GM (1977) The changed spectrum of purulent pericarditis. An 86 year autopsy experience in 200 patients. Am J Med 63:666–673

    Google Scholar 

  13. Laaban JP, Roque d'Orbcastel O, Prudent J, de Fenoyl O, Rochemaure J (1984) Primary pneumococcal pericarditis complicated by acute constriction. Intensive Care Med 10:155–156

    Google Scholar 

  14. Lui HK, Jacobson LB (1982) Staphylococcal pericarditis: successful nonsurgical treatment with indwelling catheter and antibiotic drugs. West J Med 136:536–538

    Google Scholar 

  15. Marsa RJ, Blomquist IK, Bansal RC, Boucek FC, Elperin LS (1989) Acute pericarditis due to group c streptococcus: report of a medically treated case. Am J Med 86:474–476

    Google Scholar 

  16. Permanyer-Miralda G, Sagrista-Sauleda J, Soler-Soler J (1985) Primary acute pericardial disease: a prospective series of 231 consecutive patients. Am J Cardiol 56:623–630

    Google Scholar 

  17. Rubin RH, Moellering RC (1975) Clinical, microbiologic and therapeutic aspects of purulent pericarditis. Am J Med 59:68–78

    Google Scholar 

  18. Saner HE, Gobel FL, Nicoloff DM, Edwards JE (1987) Aortic dissection presenting as pericarditis. Chest 91:71–74

    Google Scholar 

  19. Sinzobahamvya N, Ikeogu MO (1987) Purulent pericarditis. Arch Dis Child 62:696–699

    Google Scholar 

  20. Sternbach GL (1988) Pericarditis. Ann Emerg Med 17:214–220

    Google Scholar 

  21. Strang JIG, Gibson DG, Nunn AJ, Kakaza HHS, Girling DJ, Fox W (1987) Controlled trial of prednisolone as adjuvant in treatment of tuberculous constrictive pericarditis in Transkei. Lancet II:1418–1422

    Google Scholar 

  22. Symbas PN, Ware RE, Diorio DA, Hatcher CR (1974) Purulent pericarditis: a review of diagnostic and surgical principles. South Med J 67:46–48

    Google Scholar 

  23. Tsai J, Shands JW (1989) Staphylococcal pericarditis. An atypical presentation. Arch Intern Med 149:953–954

    Google Scholar 

  24. Valenzuela GJ, Koos BJ, Mejias A (1985) An unusual presentation of a case of staphylococcal pericarditis during pregnancy. Am J Obstet Gynecol 151:752–753

    Google Scholar 

  25. Wolf WJ (1986) Echocardiographic features of a purulent pericardial peel. Am Heart J 111:990–992

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wieshammer, S., Bode, M., Weber, L. et al. An unusual presentation of staphylococcal pericarditis. Klin Wochenschr 68, 436–440 (1990). https://doi.org/10.1007/BF01648589

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01648589

Key words

Navigation